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ROBERT D CARLSON M.D.
NPI 1013900174
Family Medicine in Stafford Springs, CT

Active since August 24, 2005PECOS EnrolledAccepts Medicare Assignment
47 E MAIN ST, STAFFORD SPRINGS, CT 06076(860) 684-5848 Get Directions Write a Review

NPPES record last updated: January 11, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Robert D Carlson M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ROBERT D CARLSON M.D. (NPI 1013900174) is an individual family medicine provider in Stafford Springs, Connecticut, licensed in Connecticut (029923) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS and is a graduate of State University Of Ny Upstate Medical University (1986).

NPPES Registry Identity

NPI1013900174
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameROBERT D CARLSONCredential: M.D.
Location Address47 E MAIN STStafford Springs, CT 06076-1227
Mailing Address47 E Main StStafford Springs, CT 06076-1227 · (860) 684-5848
Phone(860) 684-5848
Sole ProprietorNo
Medical School CMSState University Of Ny Upstate Medical UniversityGraduated 1986
Enumeration DateAugust 24, 2005
Last NPPES UpdateJanuary 11, 2013
✔ NPI 1013900174 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in CT · 029923
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
47 E MAIN ST, Stafford Springs, CT 06076
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Other Identifiers 11

Medicaid1299230CT
Other0129923000CT · Blue Care Family Plan
Other61373363CT · United Health Care
Other029923CT · Connecticare
Medicare ID-Type Unspecified080001031CT
Medicare UPINE07203CT
Other0R3605CT · Health Net
Other010029923-CT01CT · Bcbs
Other01029923CT · Cigna
Other4230366CT · Aetna
OtherTOP027CT · Oxford Health Plan

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Robert D Carlson M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3274589429
PECOS Enrollment IDI20100909000729
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 7

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
238 services147 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
179 services112 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
28 services23 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
25 services25 patients
Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and G0180
This is a service where a doctor or authorized practitioner certifies that you require Medicare-covered home health services. They will communicate with the home health agency and review reports on your health status to ensure you receive appropriate care. This does not involve an in-person visit.
14 services13 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
13 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06076 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$93.86 typical visit price
range $60.82 – $183.10
Typical copayment $23.46 (range $15.20 – $45.77)
Most-billed visit code 99203
Established Patient
$106.68 typical visit price
range $19.76 – $149.26
Typical copayment $26.67 (range $4.94 – $37.31)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 5

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
5 suppliers17 claims36 services$5.32 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
4 suppliers11 claims12 services$0.76 avg. paid by Medicare
Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each A4357
DME-Orthotic Devices · category DF000N
1 supplier11 claims22 services$9.02 avg. paid by Medicare
Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each A4358
DME-Orthotic Devices · category DF000N
1 supplier11 claims22 services$6.41 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers16 claims16 services$77.52 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

FRANCIS VANNOSTRAND M.D.
Medical Genetics, Ph.D. Medical Genetics
47 E MAIN ST
STAFFORD SPRINGS, CT 06076
Capitol Planning Region (860) 684-5848
NUTMEG HEALTHCARE ASSOCIATES, P.C.
Family Medicine
47 E MAIN ST
STAFFORD SPRINGS, CT 06076
Capitol Planning Region (860) 684-5848
ROBERT D. CARLSON, M.D. , LLC
Family Medicine
47 E MAIN ST
STAFFORD SPRINGS, CT 06076
Capitol Planning Region (860) 684-5871

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Robert Carlson's NPI number?

The NPI number for Robert Carlson is 1013900174. It was assigned to this individual provider in the NPPES registry on August 24, 2005.

Where is Robert Carlson located?

Robert Carlson practices at 47 E Main St, Stafford Springs, CT 06076. The listed phone number is (860) 684-5848.

What is Robert Carlson's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Robert Carlson enrolled in Medicare?

Yes. Robert Carlson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Robert Carlson was last updated on January 11, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.